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A Day in the Life of a Junior Doctor in the NHS

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Working as a junior doctor in the NHS (National Health Service) is a rewarding yet challenging experience. In this blog, we'll take a closer look at the common roles and responsibilities of a junior doctor in the NHS, highlighting the diverse range of tasks they perform on a daily basis.


Patient Reviews on Ward Rounds


One of the primary responsibilities of a junior doctor in the NHS is conducting patient reviews during ward rounds. These rounds involve assessing the condition of hospitalized patients, checking vital signs, and ensuring they are on the right track towards recovery. Junior doctors collaborate with senior clinicians to make informed decisions about the patient's care plan, including medications, treatments, and potential interventions.


Management of Acutely Unwell Patients (ATSP)


Junior doctors are often at the forefront when it comes to managing acutely unwell patients and escalate the situation to senior clinicians when required.


Procedures and Medical Interventions


Junior doctors gain valuable hands-on experience by performing various medical procedures. This includes tasks like taking blood samples, inserting cannulas for intravenous access, and placing nasogastric (NG) tubes. These procedures are essential for diagnosing and treating patients effectively. Junior doctors also play a crucial role in prescribing medications, ensuring the right drugs are administered at the right doses.


Medical Reconciliation and Investigations


Medication reconciliation is a critical task to ensure that patients' current medications align with their treatment plans. Junior doctors are responsible for reviewing and adjusting medication regimens as needed. Additionally, they request diagnostic investigations such as X-rays, CT scans, or blood tests to gather essential information about a patient's condition.


Collaboration with Radiologists


Junior doctors often find themselves in close collaboration with radiologists. They discuss patients' cases, interpret imaging results, and negotiate with radiologists to prioritize certain imaging scans when immediate attention is required. This collaboration is essential for making timely and accurate diagnoses.


Referrals to Specialties and Admissions


Junior doctors are also responsible for referring patients to specialized medical teams or surgical specialties when necessary. These referrals ensure that patients receive specialized care tailored to their conditions. Furthermore, they handle patient admissions, making sure that individuals are admitted to the appropriate ward or specialty based on their medical needs.


Documentation and Administrative Tasks


Junior doctors must maintain accurate and detailed patient records. This includes writing discharge summaries, verifying deaths, and filling out death certificate forms when necessary. These administrative tasks are crucial for the continuity of care and legal documentation.


Consenting Patients


Before performing any medical procedures or surgeries, junior doctors obtain informed consent from patients or their legal representatives. This involves explaining the procedure, potential risks, benefits, and alternatives to ensure patients fully understand and consent to the treatment.


Conclusion


Junior doctors in the NHS shoulder significant responsibilities, from patient reviews and acute care management to performing medical procedures and collaborating with other healthcare professionals. It's a challenging but incredibly rewarding profession that plays a vital role in providing quality healthcare.


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